Republic of the Philippines)

City of Santiago
) S.S.
x- - - - - - - - - - - - - - - -x

AFFIDAVIT OF NON-OPERATION

I, _________________, of

legal

age,

Filipino

citizen,

and

presently

residing

at

_____________________, after having been duly sworn to in accordance with law, do hereby depose
and say:

1.

That I

am

the

(state

position

in corporation)

of

(state

name

of corporation),

a corporation duly organization under the laws of the Philippines with principal office at
(state office address).
2.

That said corporation was

incorporated

on

(state

date

of

incorporation)

with

SEC

Registration Number (state SEC registration number).

3.

That to date, the corporation has not commenced operations due to (state reason/s for
non-operation).

4.

That The stockholders and directors of the corporation intend to commence operations in
the future.

5.

That I am executing this affidavit in order to attest to the truth of the foregoing and for
the purpose of complying with the reportorial requirements of the Securities and Exchange
Commission.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______________at
Santiago City, Philippines.

________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ____________ Santiago City,
Philippines, affiant

exhibiting

to

me his/her

competent

evidence

_______________ issued at ___________ on ________________.

Doc No. : _____

Page No.: _____
Book No.: _____
Series of 20___

of

identity

by

way

of